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1144306036
DAVENPORT MEDICAL CENTER LLC
DAVENPORT, FL
NPI
1144306036
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Entity Type
Organization
Authorized Contact
AFTAB KHAN
Owner
863-420-4077
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME86482)
Enumeration Date
2006-10-31
Last Update Date
2011-04-18
Business Address
DAVENPORT MEDICAL CENTER LLC
2502 SAND MINE RD
DAVENPORT, FL 33897-3402
Phone number: 863-420-4077
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Mailing Address
DAVENPORT MEDICAL CENTER LLC
PO BOX 22927
ORLANDO, FL 32830-2927
Phone number: 863-420-4077
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